Individual
KAYLA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3301 N OAK STREET EXT, VALDOSTA, GA 31605-1014
(229) 242-6061
Mailing address
PO BOX 3932, VALDOSTA, GA 31604-3932
(229) 415-8508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN281550
GA
Other
Enumeration date
07/28/2021
Last updated
08/31/2021
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